Individual
MR. KIRK PAUL MOODY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1295 US HIGHWAY 60 W, MORGANFIELD, KY 42437-6236
(270) 389-1212
Mailing address
PO BOX 534, 1295 US HWY 60 W, MORGANFIELD, KY 42437-0534
(270) 389-1212
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
001009
KY
Other
Enumeration date
11/29/2006
Last updated
07/08/2007
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